Munyori: Joan Hall
Zuva Rekusika: 28 Kukadzi 2021
Gadziridza Zuva: 20 Mbudzi 2024
Anonim
Estrogen | Reproductive system physiology | NCLEX-RN | Khan Academy
Vhidhiyo: Estrogen | Reproductive system physiology | NCLEX-RN | Khan Academy

Zvemukati

Estrogen inowedzera njodzi yekuti unozoita cancer yegomani (gomarara remukati wechibereko [chibereko]). Kana iwe ukatora nguva yakareba uchitora estrogen, inowedzera njodzi yekuti uchave nekenza yemendometrium. Kana usati uine hysterectomy (kuvhiya kubvisa chibereko), unofanirwa kupihwa mumwe mushonga unonzi progestin yekutora neestrogen. Izvi zvinogona kudzikisa njodzi yako yekuva nekenza yemapetometri, asi zvinogona kuwedzera njodzi yako yekuvandudza mamwe matambudziko ehutano, kusanganisira cancer yemazamu. Usati watanga kutora estrogen, udza chiremba wako kana iwe kana wakambove nekenza uye kana iwe uine kujairika kubuda kwemukadzi. Fonera chiremba wako nekukasira kana iwe uine chisina kujairika kana chisina kujairika kubuda ropa panguva yekubata kwako neestrogen. Chiremba wako anokucherekedza padhuze kuti ubatsire kuona kuti haugadzi gomarara remendometri panguva kana mushure mekurapwa kwako.

Muchidzidzo chakakura, vakadzi vakatora estrogen nemaprogesini vaive nenjodzi yakakwira yekurwadziwa nemoyo, kurohwa, kuwanda kweropa mumapapu kana makumbo, gomarara repazamu, uye kuora mwoyo (kurasikirwa kwekugona kufunga, kudzidza, uye kunzwisisa). Vakadzi vanotora estrogen voga vanogona zvakare kuva nenjodzi yakakwira yekuvandudza mamiriro aya. Udza chiremba wako kana iwe uchisvuta kana kushandisa fodya, kana iwe wakamborwara nemwoyo kana sitiroko mugore rapfuura, uye kana iwe kana chero munhu mumhuri yako akambo kana kana akambove nekugwamba kweropa kana kenza yemazamu. Uyezve udza chiremba wako kana iwe wakambove nekukwira kweropa, kuwanda kweropa remafuta akawandisa kana mafuta, chirwere cheshuga, chirwere chemwoyo, lupus (mamiriro ayo muviri unorwisa matishu ayo achikonzera kukuvara uye kuzvimba), mapundu emuzamu, kana mammogram isina kujairika (x-ray yezamu yaiwanzowana kenza yemazamu).


Zviratidzo zvinotevera zvinogona kuve zviratidzo zveakakomba mamiriro ehutano akanyorwa pamusoro. Shevedza chiremba wako nekukasira kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchitora estrogen: kamwe-kamwe, kurwadziwa nemusoro zvakanyanya pakarepo, kurutsa kwakakomba; matambudziko ekutaura; dzungu kana kupera simba; kamwe kamwe kukwana kana kukwana kurasikirwa kwemaonero, kuona kaviri; kushaya simba kana kushama ruoko kana gumbo; kupwanya kurwadziwa kwepfupa kana huremu hwechipfuva; kukosora ropa; kamwe kamwe kufema kwekufema; kunetseka kufunga zvakajeka, kurangarira, kana kudzidza zvinhu zvitsva; mapundu ezamu kana rimwe zamu shanduko; buditsa kubva paminyatso; kana kurwadziwa, unyoro, kana kutsvuka mune rimwe gumbo.

Iwe unogona kutora matanho ekudzora njodzi yekuti iwe unozokudziridza dambudziko rakakomba rehutano paunenge uchitora estrogen. Usatore estrogen wega kana neprogestin kudzivirira chirwere chemwoyo, chirwere chemwoyo, sitiroko, kana kuora mwoyo. Tora dosi rakaderera pane iro reestrogen iro rinodzora zviratidzo zvako uye rinongotora estrogen sekureba sekudikanwa. Taura nachiremba wako wega wega 3 kusvika kumwedzi mitanhatu kuti usarudze kana iwe uchifanira kutora yakaderera dosi yeestrogen kana kumira kurega kutora mushonga.


Unofanira kuongorora mazamu ako mwedzi woga woga uye unoita mammogram uye bvunzo bvunzo dzinoitwa nachiremba gore rega rega kuti ubatsire kuona gomarara repazamu nekukurumidza. Chiremba wako anokuudza kuti unganyatsoongorora sei mazamu ako uye kana uchifanira kunge uine bvunzo idzi kazhinji kanopfuura kamwe chete pagore nekuda kwehupenyu hwako kana hwemhuri nhoroondo.

Udza chiremba wako kana uri kuvhiyiwa kana kuti uchizorora pamubhedha. Chiremba wako anogona kukuudza kuti rega kutora estrogen 4 kusvika kumavhiki matanhatu pamberi pekuvhiyiwa kana zororo remubhedha kuti uderedze njodzi yekuti uchave nekugwamba kweropa.

Taura nachiremba wako nguva dzose nezvengozi uye zvakanakira kutora estrogen.

Estrogen inoshandiswa kurapa kupisa kunopisa ('hot flashes'; pakarepo kunzwa kwakasimba kwekupisa uye kudikitira) mune vakadzi vari kusangana nekuguma kwemwedzi ('shanduko yehupenyu', kupera kwemwedzi wemwedzi kumwedzi). Mamwe marangi eestrogen anoshandiswa zvakare kurapa kusangana nekutsi kwemukadzi kuoma, kuchenesa, kana kupisa, kana kudzivirira osteoporosis (mamiriro umo mapfupa anoonda uye kupera simba nekutyoka zviri nyore) mumadzimai ari kusangana kana kuve nekuwana kumwedzi. Nekudaro, vakadzi vanoda mishonga chete yekurapa kuoma kwemadzimai kana chete kudzivirira osteoporosis vanofanirwa kufunga nezvekurapa kwakasiyana. Mamwe marangi eestrogen ari zvakare kubvisa zviratidzo zveiyo yakaderera estrogen mune vakadzi vechidiki vasina kuburitsa yakakwana estrogen zvakasikwa. Mamwe marangi eestrogen anoshandiswa zvakare kudzikamisa zviratidzo zvemamwe marudzi ezamu neprostate (yechirume yekubereka gland) gomarara. Estrogen iri mukirasi yemishonga inonzi mahormone. Inoshanda nekutsiva estrogen iyo inowanzo kugadzirwa nemuviri.


Estrogen inouya sehwendefa kutora nemuromo. Inowanzo kutorwa pamwe kana pasina chikafu kamwe pazuva. Estrogen dzimwe nguva inotorwa zuva rega rega uye dzimwe nguva inotorwa zvinoenderana nechirongwa chinotenderera chinoshandura imwe nguva yenguva apo estrogen inotorwa zuva rega rega nenguva yenguva apo estrogen isina kutorwa. Kana isrogen inoshandiswa kubvisa zviratidzo zvegomarara, inowanzo kutorwa katatu pazuva. Tora estrogen panguva dzakatenderedza nguva imwechete (ma) mazuva ese. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Tora estrogen chaizvo sezvakarairwa. Usatore zvimwe kana zvishoma nezvayo kana kuitora kakawanda pane zvakatemwa nachiremba wako.

Chiremba wako anogona kukutanga iwe pane yakaderera dosi yeestrogen uye zvishoma nezvishoma wedzera yako dhizaini kana zviratidzo zvako zvichiri kunetsa, kana kudzikisa dosi yako kana zviratidzo zvako zvakanyatsodzorwa Taura nachiremba wako nezvekuti estrogen inoshanda sei kwauri.

Kumbira wemishonga wako kana chiremba kopi yemashoko emugadziri wemurwere.

Mushonga uyu unogona kupihwa zvimwe zvinoshandiswa; bvunza chiremba wako kana wemishonga kuti uwane rumwe ruzivo.

Usati watora estrogen,

  • udza chiremba wako uye wemishonga kana iwe uri weergoria kune chero mhando yemuromo estrogen, chero zvimwe zvigadzirwa zveestrogen, chero mimwe mishonga, kana chero zvigadzirwa zvemumapiritsi eestrogen. Kana iwe uchizotora Estrace® mahwendefa emagetsi, udza chiremba wako uye wemishonga kana uri weergoria kune asipurini kana tartrazine (chikafu chekuwedzera chinowedzera). Kumbira wemishonga wako kana tarisa ruzivo rwemurwere wemugadziri kuti uwane rondedzero yezvinhu zvisina basa muchiratidzo chematafura eestrogen aunoronga kutora.
  • udza chiremba wako uye wemishonga kuti ndeipi mishonga yekunyorera uye isina kunyoreswa, mavitamini, uye zvinovaka muviri zvaunotora kana kuronga kutora. Ive neshuwa yekutaura chero eanotevera: amiodarone (Cordarone, Pacerone); mamwe maantifungal akadai itraconazole (Sporanox) uye ketoconazole (Nizoral); aprepitant (Simbisa); carbamazepine (Carbatrol, Epitol, Tegretol); cimetidine (Tagamet); clarithromycin (Biaxin); cyclosporine (Neoral, Sandimmune); dexamethasone (Decadron, Dexpak); diltiazem (Cardizem, Dilacor, Tiazac, nevamwe); erythromycin (EES, Erythrocin); fluoxetine (Prozac, Sarafem); fluvoxamine (Luvox); griseofulvin (Fulvicin, Grifulvin, Gris-PEG); lovastatin (Altocor, Mevacor); mishonga yehutachiona hwehutachiona hwehutachiona hweHIV (HIV) kana yakawanikwa immunodeficiency syndrome (AIDS) yakadai seatazanavir (Reyataz), delavirdine (Rescriptor), efavirenz (Sustiva), indinavir (Crixivan), lopinavir (muKaletra), nelfinavir (Viracept), nevirapine ( Viramune), ritonavir (Norvir, muKaletra), uye saquinavir (Fortovase, Invirase); mishonga yechirwere chetachiona; nefazodone; phenobarbital; phenytoin (Dilantin, Phenytek); rifabutin (Mycobutin); rifampin (Rifadin, Rimactane, muRifamate); sertraline (Zoloft); troleandomycin (TAO); verapamil (Calan, Covera, Isoptin, Verelan); uye zafirlukast (Akarurama). Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro.
  • udza chiremba wako kuti ndezvipi zvigadzirwa zvemakwenzi zvauri kutora, kunyanya St. John's wort.
  • udza chiremba wako kana wakamboita yero yeganda kana maziso panguva yekuzvitakura kana panguva yekurapwa kwako nechigadzirwa cheestrogen, endometriosis (mamiriro ayo rudzi rwechitunha chinotenderera muchibereko [chibereko] chinokura mune dzimwe nzvimbo dze muviri), uterine fibroids (kukura muchibereko chisiri kenza), asthma, migraine kutemwa nemusoro, pfari, porphyria (mamiriro ezvinhu izvo zvinhu zvisina kujairika zvinowanda muropa uye zvinokonzeresa neganda kana tsinga system), zvakanyanya kwazvo kana zvakanyanya yakaderera mwero wecalcium muropa rako, kana thyroid, chiropa, itsvo, nduru, kana chirwere chepancreatic.
  • udza chiremba wako kana iwe uri nepamuviri, ronga kuve nepamuviri, kana uri kuyamwisa. Kana iwe ukava nepamuviri uchitora estrogen, danaidza chiremba wako nekukurumidza.
  • taura nachiremba wako nezvengozi uye zvakanakira kutora estrogen kana iwe uine makore makumi matanhatu nemashanu ekuberekwa kana kupfuura. Vakadzi vakuru havakwanisi kutora oral estrogen kutoti vari kutora mamwe mahormone. Oral estrogen inotorwa isina mamwe mahormoni haina kuchengetedzeka kana kushanda semimwe mishonga inogona kushandiswa kurapa mamiriro akafanana.
  • kana iwe uri kutora estrogen kudzivirira osteoporosis, taura nachiremba wako nezve dzimwe nzira dzekudzivirira chirwere senge kurovedza muviri uye kutora vhitamini D uye / kana calcium zvinowedzera.

Taura nachiremba wako nezve kudya mazambiringa uye kunwa jisi remuzambiringa paunenge uchitora mushonga uyu.

Taura nachiremba wako nezvenzira dzekuwedzera huwandu hwecalcium uye vhitamini D mukudya kwako, kunyanya kana uri kutora estrogen kudzivirira osteoporosis.

Tora dosi rakarasika nekukurumidza kana uchinge warangarira. Zvisinei, kana yava nguva yenguva inotevera, svetuka chirwere chakarasika uye ramba uchiita purogiramu yako yenguva dzose. Usatore dosi yakapetwa kaviri kuti uwane imwe yakarasika.

Estrogen inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:

  • kurwadziwa kwepamuviri kana hunyoro
  • kugumbuka mudumbu
  • kurutsa
  • chirungurira
  • kuvimbiswa
  • manyoka
  • gasi
  • kurema kana kurasikirwa
  • makumbo makumbo
  • huta
  • kuora mwoyo
  • dzungu
  • kupisa kana kugwinha maoko kana makumbo
  • mhasuru dzakasimba
  • kurasikirwa nevhudzi
  • bvudzi risingadiwe kukura
  • kusvibiswa kweganda kumeso
  • kunetseka kupfeka malensi ekubatana
  • kuzvimba, kutsvuka, kutsva, kuvaviwa, kana kutsamwa kwemukadzi
  • kubuda kwemukadzi
  • shanduko mune zvekuda zvepabonde
  • kutonhora zviratidzo

Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe cheizvi zviratidzo kana izvo zvakanyorwa mune CHINOKOSHA CHENYENZO chikamu, dana chiremba wako nekukurumidza:

  • maziso anobuda
  • huro, fivha, kutonhora, kukosora, uye zvimwe zviratidzo zvehutachiona
  • kurwadziwa, kuzvimba, kana unyoro mudumbu
  • kurasikirwa nenzara
  • kushaya simba
  • yero yeganda kana maziso
  • kurwadza kwemajoini
  • mafambiro akaoma kudzora
  • mapundu kana mhoni
  • mikoko
  • kuvava
  • kuzvimba kwemaziso, kumeso, rurimi, huro, maoko, maoko, tsoka, makumbo, kana makumbo ezasi
  • hoarseness
  • kunetseka kufema kana kumedza

Estrogen inogona kuwedzera njodzi yako yekuva nekenza yemazai kana chirwere chenduru chinogona kuda kurapwa nekuvhiyiwa. Taura nachiremba wako nezve njodzi dzekutora estrogen.

Estrogen inogona kukonzera kukura kunonoka kana kumira kutanga muvana vanotora madhizai makuru kwenguva yakareba. Estrogen inogona zvakare kukanganisa iyo nguva uye nekukurumidza kwekusangana pabonde muvana. Chiremba wemwana wako anomutarisa zvakanaka kana achirapwa neestrogen. Taura nachiremba wemwana wako nezve njodzi dzekupa uyu mushonga kumwana wako.

Estrogen inogona kukonzera mamwe mhedzisiro. Fonera chiremba wako kana uine chero matambudziko asina kujairika uchitora mushonga uyu.

Kana iwe ukawana chakakomba mhedzisiro, iwe kana chiremba wako ungatumira chirevo kuchirongwa cheKudya neDrug Administration's (FDA) MedWatch Yakashata Chiitiko Chirongwa online (http://www.fda.gov/Safety/MedWatch) kana nefoni ( 1-800-332-1088).

Chengetedza iyi mishonga mumudziyo iyo yakauya mukati, yakasungwa yakavharwa, uye isingasvike kune vana. Zvichengetedze pane tembiricha yemukati uye kure nekupisa kwakanyanya uye hunyoro (kwete muchimbuzi).

Izvo zvakakosha kuti chengetedza mishonga yese isingaonekwe nekusvikwa kwevana semidziyo yakawanda (senge vhiki nevhiki mapiritsi epfungwa uye ayo emadonhwe eziso, makirimu, zvigamba, uye inhalers) hazvirambe vana uye vana vadiki vanogona kuvhura zviri nyore. Kuchengetedza vana vadiki kubva kune chepfu, gara wakakiya makofia ekuchengetedza uye nekukurumidza isa mishonga munzvimbo yakachengeteka - imwe iri kumusoro uye kure uye isingaonekwe nevanosvika. http://www.upandaway.org

Mishonga isingadiwe inofanirwa kuraswa nenzira dzakakosha kuona kuti zvipfuyo, vana, nevamwe vanhu havagone kuzvidya. Nekudaro, iwe haufanire kuburitsa uyu mushonga pasi pechimbuzi. Pane kudaro, nzira yakanakisa yekurasa yako mishonga ndeye kuburikidza neyekurapa-kudzosa chirongwa. Taura nachiremba wako kana kuti taura nedhipatimendi rako remarara / rekudzokorora kuti udzidze nezve zvirongwa zvekudzosa munharaunda yako. Ona iyo FDA's Safe Disposal yeMedicine webhusaiti (http://goo.gl/c4Rm4p) kuti uwane rumwe ruzivo kana iwe usina mukana wekutora-kudzoka chirongwa.

Kana zvikaitika zvekudarika, fonera iyo chepfu yekudzora rubatsiro pa1-800-222-1222. Ruzivo rwunowanikwawo online pa https://www.poisonhelp.org/help. Kana munhu akabatwa akadonha, akabatwa nepfari, achinetseka kufema, kana kutadza kumutswa, pakarepo danaidza mabasa ekukurumidzira pa911.

Zviratidzo zvekuwedzeredza zvinogona kusanganisira:

  • kugumbuka mudumbu
  • kurutsa
  • kubuda ropa muchikadzi

Chengetedza zvese zvakagadzwa nachiremba wako.

Usati waita chero bvunzo yerabhoritari, udza chiremba wako uye vashandi veirabhoritari kuti uri kutora estrogen.

Usarega mumwe munhu achitora mushonga wako. Kumbira wemishonga wako chero mibvunzo yauinayo nezvekuzadza tsamba yako.

Izvo zvakakosha kuti iwe uchengete yakanyorwa rondedzero yeese emushonga uye asiri ekunyora (pamusoro-e-pikisheni) mishonga yauri kutora, pamwe nezvimwe zvigadzirwa zvakaita sevhitamini, zvicherwa, kana zvimwe zvekuwedzera zvekudya. Iwe unofanirwa kuuya nerondedzero iyi iwe nguva imwe neimwe paunoshanyira chiremba kana kana iwe uchigamuchirwa kuchipatara. Izvo zvakare zvakakosha ruzivo kutakura newe kana zvikaitika zvechimbi-chimbi.

  • Amnestrogen® (yakagadziriswa estrogens)
  • Cenestin® (conjugated synthetic A estrogens)
  • Enjuvia® (conjugated synthetic B estrogens)
  • Estrace® Mahwendefa (estradiol)
  • Estratab® (yakagadziriswa estrogens)
  • Evex® (yakagadziriswa estrogens)
  • Femogen® (yakagadziriswa estrogens)
  • Menest® (yakagadziriswa estrogens)
  • Ogen® Mahwendefa (estropipate)
  • Ortho-est® (estropipate)
  • Premarin® Mahwendefa (conjugated estrogens)
  • Covaryx® (iine Esterified Estrogens, Methyltestosterone)
  • Essian® (iine Esterified Estrogens, Methyltestosterone)
  • Estratest® (iine Esterified Estrogens, Methyltestosterone)
  • Vakadzi® (iine Esterified Estrogens, Methyltestosterone)
  • Menogen® (iine Esterified Estrogens, Methyltestosterone)
  • Menrium® (iine Chlordiazepoxide, Esterified Estrogens)
  • Milprem® (ine Conjugated Estrogens, Meprobamate)
  • PMB® (ine Conjugated Estrogens, Meprobamate)
  • Premarin® ine Methyltestosterone (ine Conjugated Estrogens, Methyltestosterone)
  • Syntest® (iine Esterified Estrogens, Methyltestosterone)
  • conjugated estrogens
  • yakatemwa estrogens
  • estradiol
  • estropipate

Ichi chigadzirwa chakapiswa hachisisiri pamusika. Dzimwe nzira dzinogona kuwanikwa.

Yekupedzisira Yakagadziridzwa - 09/15/2017

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